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Provider 1750307393

NPI: 1750307393Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.1M

$11,119,990

Total Claims

751K

Beneficiaries

593K

1.3 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-0%
2019
$1.6M
-10%
2020
$1.4M
-5%
2021
$1.4M
+26%
2022
$1.7M
+5%
2023
$1.8M
-11%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 14% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.6M

59K claims · 14.0%

Your Cost: $26.45/claim|Median: $23.99
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.1M

34K claims · 9.7%

Your Cost: $32.06/claim|Median: $53.41
0.6× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.0M

43K claims · 9.2%

Your Cost: $23.74/claim|Median: $37.81
0.6× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$869K

5,346 claims · 7.8%

Your Cost: $162.59/claim|Median: $90.89
1.8× median
80050Normal range

General health panel

$660K

18K claims · 5.9%

Your Cost: $36.44/claim|Median: $25.59
1.4× median
99490Top 10%

Chronic care management services, 20 minutes per month

$490K

18K claims · 4.4%

Your Cost: $26.73/claim|Median: $6.31
4.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$421K

11K claims · 3.8%

Your Cost: $39.44/claim|Median: $35.43
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$411K

27K claims · 3.7%

Your Cost: $15.52/claim|Median: $16.77
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$369K

9,762 claims · 3.3%

Your Cost: $37.82/claim|Median: $35.30
1.1× median
80061Normal range

Lipid panel

$337K

34K claims · 3.0%

Your Cost: $9.89/claim|Median: $8.41
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$304K

7,405 claims · 2.7%

Your Cost: $41.04/claim|Median: $43.85
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$298K

4,387 claims · 2.7%

Your Cost: $67.94/claim|Median: $76.06
0.9× median
82306Normal range

Vitamin D, 25 hydroxy

$284K

14K claims · 2.6%

Your Cost: $20.17/claim|Median: $18.18
1.1× median
99253Normal range

$272K

4,563 claims · 2.4%

Your Cost: $59.70/claim|Median: $55.16
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$268K

5,669 claims · 2.4%

Your Cost: $47.24/claim|Median: $51.25
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$230K

2,920 claims · 2.1%

Your Cost: $78.79/claim|Median: $67.32
1.2× median
99439Top 25%

$163K

6,096 claims · 1.5%

Your Cost: $26.67/claim|Median: $5.83
4.6× median
99406Normal range

$153K

26K claims · 1.4%

Your Cost: $5.87/claim|Median: $6.53
0.9× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$140K

2,039 claims · 1.3%

Your Cost: $68.61/claim|Median: $37.56
1.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$127K

2,340 claims · 1.1%

Your Cost: $54.30/claim|Median: $72.71
0.7× median
99497Top 25%

$124K

3,632 claims · 1.1%

Your Cost: $34.24/claim|Median: $10.99
3.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$119K

22K claims · 1.1%

Your Cost: $5.31/claim|Median: $4.71
1.1× median
80053Normal range

Comprehensive metabolic panel

$111K

16K claims · 1.0%

Your Cost: $6.77/claim|Median: $7.24
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$108K

1,307 claims · 1.0%

Your Cost: $82.56/claim|Median: $101.24
0.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$108K

456 claims · 1.0%

Your Cost: $236.07/claim|Median: $169.17
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$104K

16K claims · 0.9%

Your Cost: $6.35/claim|Median: $5.50
1.2× median
94010Normal range

$63K

4,151 claims · 0.6%

Your Cost: $15.28/claim|Median: $18.11
0.8× median
99221Normal range

Initial hospital care, straightforward/low

$59K

1,960 claims · 0.5%

Your Cost: $30.11/claim|Median: $39.96
0.8× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$52K

5,021 claims · 0.5%

Your Cost: $10.34/claim|Median: $8.72
1.2× median
92587Normal range

$42K

1,771 claims · 0.4%

Your Cost: $23.95/claim|Median: $19.24
1.2× median